And the stronger sex has menopause
For a long time, experts decided – to be or not to be a “male menopause.” After all, if we draw an analogy with female menopause, then in women it is directly related to the cessation of the function of childbearing. And reproductive function in men most often persists until old age. However, andropause does exist.
Andropause is associated with a decrease in the body’s level of male hormones androgens, and especially testosterone. If he is normal – no problem! In the opposite case, erection and sperm maturation are impaired. Following sexual dysfunctions, muscle mass decreases, and the amount of subcutaneous fat increases, being deposited on the abdomen, hips, buttocks. The level of cholesterol and lipids in the blood rises, the risk of developing atherosclerosis and cardiovascular diseases increases. A lack of testosterone affects memory, reaction speed, the ability to objectively assess the situation, and even mood.
Unlike female menopause, when hormone production drops sharply, male andropause is stretched over time: after 40 years, the level of total testosterone slowly decreases. Impaired hormone production is associated with changes in various parts of the brain and testicles, as well as the use of certain medications, radiation, injuries, or surgery. Hormonal status directly depends on the psychological state of a man.
The less hormones, the brighter the symptoms
Stress significantly reduces testosterone levels, and prolonged nervous stress inhibits the production of the main male hormone so that its production in the body can stop altogether. The lower the level of androgens, the brighter the symptoms of andropause. Unreasonable nervousness, a sharp change of mood, increased fatigue, decreased working capacity, depression, increased suspiciousness in relation to one’s own health appear. During this period, insomnia is often worried. Violation of urination, the occurrence of pain in the back and joints, an increase in brittle bones are not ruled out. Men become demanding, picky, aggressive or tearful.
After 45 years, men need to visit the andrologist at least once every six months. In a conversation with a doctor, be extremely frank, so it’s easier for a doctor to evaluate your condition. For a detailed health check, a general blood test, a sex hormone test, densitometry are usually prescribed – a study of bone density to detect osteoporosis, as well as ultrasound of the prostate gland. Be sure to test for cholesterol and blood sugar.
Unfortunately, androgen deficiency is an irreversible process. But you can significantly slow it down with the help of specific treatment, which is aimed at restoring normal levels of testosterone. The course is selected individually, according to age, severity of symptoms, immune status and other individual characteristics.
Hormone replacement or stimulating therapy (tablets, injections, testosterone gels) is usually used to enhance the production of testosterone. After 2 months of treatment, men rise in mood, increase physical activity, pass headaches, significantly improve their appearance and sex drive. A longer treatment allows you to increase muscle mass and muscle strength, reduce body fat, reduce bad blood cholesterol and increase bone density. To alleviate the symptoms of andropause, it is important to maintain normal body weight, monitor blood pressure and blood sugar.
Hormone replacement therapy has contraindications – the drugs are not used for malignant tumors of the prostate or breast, pituitary tumor, bronchial asthma, renal failure and epilepsy.
Menopause is easier in men who lead a healthy lifestyle. Start your morning with gymnastics and a contrast shower. In the evening, at least once a week, at least an hour work out in the gym or swim in the pool. Useful evening walks in the fresh air. If possible, do not take problems at work to heart. Revise your gastronomic preferences – meat, sausages, fat cabbage soup should be a thing of the past. If you want to be in shape, eat as many vegetables, fruits, greens as possible, do not forget about the benefits of fish, cereals, dairy products. Replace desserts with honey, green tea, berry fruit drinks and dried fruit compotes. And most importantly, give up alcohol and smoking.